Latrece Gaither, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LATRECE GAITHER, LLC

Practice address

510 NE Roberts Ave Ste 200
Gresham, OR 97030-7484

Phone

(971) 236-2728

Fax

(855) 719-2524

NPI assigned

Sep 30, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latrece GaitherNPI 1316295587

Title

Owner/Provider

Phone

(971) 236-2728

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LaTrece Gaither, LLC Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latrece Gaither, M.A.

  • Marriage & Family Therapist
  • Gresham, OR
  • NPI 1316295587

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1356065502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970240214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NE ROBERTS AVE STE 200",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307484",
            "telephone_number": "971-236-2728",
            "fax_number": "855-719-2524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2872 NE Kelly Pl",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970302793",
            "country_code": "US",
            "telephone_number": "971-236-2728",
            "fax_number": "855-719-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LATRECE GAITHER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "GAITHER",
        "authorized_official_first_name": "LATRECE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "971-236-2728"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316295587",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Connect",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EHR",
            "address_1": "510 NE Roberts Ave Ste 200",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970307484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LaTrece Gaither, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Danielle Lara, HEATHER BENNETT, M.A
• Bethany Laratta, SLP
• Christopher Larkin, OTD
• Greta Katherine Larson, ARNP
• Sydney Mariah Laschober, SLP
• Alexander Herman Lau, M.D.
• Jolene E Lau, LMT
• Jordan M Laub, MD
• Tara Ann Lawhorn, CRM/PWS/QMHA-R
• Tiffany Lawrence

• Mental Health Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.